Individual
ELLEN WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
984 N BROADWAY, SUITE 301, YONKERS, NY 10701-1318
(914) 963-1663
Mailing address
13 MCCLELLAND ST, DOBBS FERRY, NY 10522-1109
(914) 963-1663
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
214774
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EW006B240
BLUE CROSS /BLUE SHIELD
NY
Enumeration date
11/27/2006
Last updated
04/01/2008
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